Organization
LO OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SHOOK (EXECUTIVE DIRECTOR)
(517) 337-1899
Entity
Organization
Contact information
Practice address
1170 JORDAN LAKE ST, LAKE ODESSA, MI 48849-1212
(616) 374-3284
(616) 374-2020
Mailing address
1005 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-8186
(517) 337-1668
(517) 622-1205
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
08/07/2024
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